HEDIS Health Plan Accreditation Standards

What is HEDIS?


Health Plan Employer Data and Information Sets (HEDIS) is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans.

The performance measures in HEDIS are related to many significant public health issues including:

  • cancer
  • heart disease
  • smoking
  • asthma
  • diabetes

HEDIS also includes a standardized survey of consumers' experiences that evaluates plan performance in areas such as:

  • customer service
  • access to care
  • claims possessing

HEDIS is sponsored, supported and maintained by National Committee for Quality Assurance (NCQA).

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). NCQA HEDIS Compliance Audit is a trademark of the National Committee for Quality Assurance (NCQA).
 

Letter (2006) 
 
Medicare Results (2005)